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Volvulus in pregnancy: a diagnostic dilemma
Kae-Yng Ou1, Yi-Ming Lee, Ching-Ru Shen
1Department of Obstetrics and Gynecology, Yuan's General Hospital, Kaohsiung, Taiwan.
The Kaohsiung Journal of Medical Sciences
|March 29, 2007
Summary
This case report details a rare instance of mid-ileum volvulus in a 27-week pregnant patient, highlighting the need for prompt surgical intervention in suspected bowel obstruction during pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Surgical Gastroenterology
- Emergency Medicine
Background:
- Pregnancy-induced physiological changes can increase the risk of gastrointestinal complications.
- Bowel obstruction is a serious condition that requires timely diagnosis and management.
Observation:
- A 27-week pregnant patient presented with acute right lower abdominal cramping pain.
- Initial assessment suggested peritonitis, leading to surgical intervention.
Findings:
- Pathological diagnosis confirmed mid-ileum volvulus as the cause of the acute abdomen.
- The patient's pregnancy continued uneventfully after surgical correction.
Implications:
- Pregnancy can predispose individuals to rare causes of acute abdomen, such as volvulus.
- Prompt surgical management of suspected volvulus in pregnant patients is crucial to prevent severe outcomes like septic shock and mortality.
- This case underscores the importance of considering rare gastrointestinal emergencies in obstetric patients.
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